Dr. Howard Smith Reports

Vidcast:  https://youtu.be/9esH8xR_GNA

Elevators: Space on larger elevators and face the wall but don’t lean against it.  If you’re the third on a smaller residential elevator, wait for the next one.  Families count as one if they fit on one wall.  Knuckles, elbows or probes on the buttons please.

Out and about:  In a line? Space 6-10 feet away and get off the line if someone is coughing or sneezing.  Breath shallowly in line or passing people on the street.

When returning:  Immediately wash with soap and water or use hand sanitizer.  Wipe off surfaces of purchased items with soapy sponge or Clorox wipe.

#covid19 #coronavirus #soap #elevator #purell #clorox

Vidcast:  https://youtu.be/9esH8xR_GNA

Elevators: Space on larger elevators and face the wall but don’t lean against it.  If you’re the third on a smaller residential elevator, wait for the next one.  Families count as one if they fit on one wall.  Knuckles, elbows or probes on the buttons please.

Out and about:  In a line? Space 6-10 feet away and get off the line if someone is coughing or sneezing.  Breath shallowly in line or passing people on the street.

When returning:  Immediately wash with soap and water or use hand sanitizer.  Wipe off surfaces of purchased items with soapy sponge or Clorox wipe.

#covid19 #coronavirus #soap #elevator #purell #clorox

Vidcast:  https://youtu.be/gBCsEskhjLE

Soap, any kind of soap, disintegrates coronavirus by pulverizing its outer lipid-protein envelope.  It’s fast, and 20-30 seconds in contact with soapy water should do it.

My routine: rubbing with bar or soft soap and water for 20 seconds (2 happy birthday songs) and then leave the soapy water for another 20 seconds.  Don't forget to use soapy water on your phone, your smartwatch or fitness wearable, and let it sit for 20-30 seconds.  Remember, virus lives on surfaces: cardboard 24 hrs, stainless steel 48 hrs, and plastic 72 hrs. so rewash hands if you touch them or coat them down with soapy water for 30 seconds.

https://www.theguardian.com/commentisfree/2020/mar/12/science-soap-kills-coronavirus-alcohol-based-disinfectants

https://www.nejm.org/doi/full/10.1056/NEJMc2004973

#covid19 #coronavirus #soap #cardboard #plastic #stainless

Vidcast:  https://youtu.be/gBCsEskhjLE

Soap, any kind of soap, disintegrates coronavirus by pulverizing its outer lipid-protein envelope.  It’s fast, and 20-30 seconds in contact with soapy water should do it.

My routine: rubbing with bar or soft soap and water for 20 seconds (2 happy birthday songs) and then leave the soapy water for another 20 seconds.  Don't forget to use soapy water on your phone, your smartwatch or fitness wearable, and let it sit for 20-30 seconds.  Remember, virus lives on surfaces: cardboard 24 hrs, stainless steel 48 hrs, and plastic 72 hrs. so rewash hands if you touch them or coat them down with soapy water for 30 seconds.

https://www.theguardian.com/commentisfree/2020/mar/12/science-soap-kills-coronavirus-alcohol-based-disinfectants

https://www.nejm.org/doi/full/10.1056/NEJMc2004973

#covid19 #coronavirus #soap #cardboard #plastic #stainless

Vidcast:  https://youtu.be/eL_nvp4v6IY

Why is a ventilator, or a vent as we docs call it, so complicated and expensive.  Isn’t just a pump to drive oxygenated air into a patient’s lungs?

Its pump is electronically controlled to control the numbers of respirations per minute, the volume of air in each respiration, and the percentage of added oxygen.  The ventilator can assist natural breaths or control respirations completely.  For patients with severe lung infections and damage, the vent maintains some residual airway pressure between breaths. 

These machines cost as much as $50, 000 each.  A clever Canadian anesthetist has created plumbing so that up to 9 patients with similar respiratory requirements may be serviced by one vent.  

https://www.dailymail.co.uk/news/article-8136299/Doctors-turns-one-ventilator-nine-genius-DIY-mechanics.html

#covid19 #coronavirus #ventilator

Vidcast:  https://youtu.be/eL_nvp4v6IY

Why is a ventilator, or a vent as we docs call it, so complicated and expensive.  Isn’t just a pump to drive oxygenated air into a patient’s lungs?

Its pump is electronically controlled to control the numbers of respirations per minute, the volume of air in each respiration, and the percentage of added oxygen.  The ventilator can assist natural breaths or control respirations completely.  For patients with severe lung infections and damage, the vent maintains some residual airway pressure between breaths. 

These machines cost as much as $50, 000 each.  A clever Canadian anesthetist has created plumbing so that up to 9 patients with similar respiratory requirements may be serviced by one vent.  

https://www.dailymail.co.uk/news/article-8136299/Doctors-turns-one-ventilator-nine-genius-DIY-mechanics.html

#covid19 #coronavirus #ventilator

Vidcast:  https://youtu.be/0WNk_nLAHOA

London’s Smiths Group, a major ventilator manufacturer, is ramping up its own production to make an additional 30,000 over the coming months.  The company is helping other companies across the globe so that other nations may ramp up ventilator manufacturing.  

How about in the US?  A Washington state ventilator manufacturer VENTEC will partner with GM to streamline its supply chain and multiply its manufacturing capabilities from 150/month to 10s of thousands/month..

Ford has also indicated a willingness to help.  They will make not only ventilators but face masks with tiny fans to generate positive pressures within the mask to keep the virus out of the respiratory tract and eyes.

#covid19 #coronavirus #ventilator

Vidcast:  https://youtu.be/0WNk_nLAHOA

London’s Smiths Group, a major ventilator manufacturer, is ramping up its own production to make an additional 30,000 over the coming months.  The company is helping other companies across the globe so that other nations may ramp up ventilator manufacturing.  

How about in the US?  A Washington state ventilator manufacturer VENTEC will partner with GM to streamline its supply chain and multiply its manufacturing capabilities from 150/month to 10s of thousands/month..

Ford has also indicated a willingness to help.  They will make not only ventilators but face masks with tiny fans to generate positive pressures within the mask to keep the virus out of the respiratory tract and eyes.

#covid19 #coronavirus #ventilator

Vidcast:  https://youtu.be/AMGmbjdWo-o

The CoVid19 virus uses the angiotensin converting enzyme 2 or ACE2 as a binding site to human cells in the lungs, heart, and kidneys.  The angiotensin receptor blockers (ARBs) used to lower blood pressure increase ACE2 levels and may be able to diminish the damage the virus creates in vital organs.

Clinicians from China and India observe that the ARB drugs losartan and telmisartan bind strongest to the angiotensin receptors and would be most effective against CoVid19.  Since these drugs are already FDA-approved, drug trials using them for treating CoVid19 may be launched.

If you are on an ARB, stay on it as such studies unfold but don’t switch to it yet!

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ddr.21656

https://www.bmj.com/content/368/bmj.m406/rr-2

#covid19 #coronavirus #angiotensin #arb

Vidcast:  https://youtu.be/AMGmbjdWo-o

The CoVid19 virus uses the angiotensin converting enzyme 2 or ACE2 as a binding site to human cells in the lungs, heart, and kidneys.  The angiotensin receptor blockers (ARBs) used to lower blood pressure increase ACE2 levels and may be able to diminish the damage the virus creates in vital organs.

Clinicians from China and India observe that the ARB drugs losartan and telmisartan bind strongest to the angiotensin receptors and would be most effective against CoVid19.  Since these drugs are already FDA-approved, drug trials using them for treating CoVid19 may be launched.

If you are on an ARB, stay on it as such studies unfold but don’t switch to it yet!

https://onlinelibrary.wiley.com/doi/pdf/10.1002/ddr.21656

https://www.bmj.com/content/368/bmj.m406/rr-2

#covid19 #coronavirus #angiotensin #arb